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Knee Replacement seems OVER THE TOP for reduced cartilage...

Posted on 2/19/18 at 5:22 pm
Posted by SabinBear
Member since Jan 2018
1145 posts
Posted on 2/19/18 at 5:22 pm
When the cartilage wears out in the knee, it seems a "cartilage substitute" could be inserted and attached, kind of like getting new brake pads on the car. Replacing the entire knee seems to be the one trick orthopedic docs use as their standard job for these knee issues.

Can someone please invent the cartilage substitute? I don't have the free time to do it.
Posted by NoShow
Member since Feb 2013
2339 posts
Posted on 2/19/18 at 5:23 pm to
That doctor has boat and condo fees to pay!
Posted by Ace Midnight
Between sanity and madness
Member since Dec 2006
89622 posts
Posted on 2/19/18 at 5:42 pm to
quote:

Can someone please invent the cartilage substitute?


Well, they can actually do some cartilage movement and microfracture surgery kind of forms a scaffold for that. Problem is - you get the wrong kind of cartilage - you get fibrous which just wears right off.

You're thinking brake pad, which is the wrong mental model - it's more like lubricant - hyaline cartilage (the good stuff) while technically "solid" tissue, is super slick, like a good lubricant (or engine coating if you want a more direct analogy) and that is what is extraordinarily difficult to replace once gone.

I've been watching with some interest (my left knee has been going out for about 5 years - I've tried not to baby it, but I avoid doing too much extra damage to it - I'm still young) - the progress of a product by an Israeli company - it's a biphasic implant that is installed via a form of microfracture surgery - it's organic coral based, and it encourages bone growth underneath and hyaline cartilage growth over the top, with or without lesions, with or without bone loss. It's slowly but surely making it's way through U.S. trials.

Cartiheal's amazing Agili-C

I might be able to run again some day.
This post was edited on 2/19/18 at 7:45 pm
Posted by TheBaker
Prairieville
Member since Jan 2004
4318 posts
Posted on 2/19/18 at 5:44 pm to
Yeah...that would be a ROCKY recovery.
Posted by soccerfüt
Location: A Series of Tubes
Member since May 2013
65926 posts
Posted on 2/19/18 at 5:45 pm to
We don’t need your cutting remarks around this joint pal.
Posted by Darth Aranda
Naboo
Member since Dec 2016
2488 posts
Posted on 2/19/18 at 5:50 pm to
Just put a little Temper-Pedic pad in there
Posted by member12
Bob's Country Bunker
Member since May 2008
32121 posts
Posted on 2/19/18 at 5:56 pm to
quote:

Knee Replacement seems OVER THE TOP for reduced cartilage...


As complicated and as scary as it sounds, it has a very high success rate. Ortho surgeons do dozens of them every day in Baton Rouge.
Posted by onmymedicalgrind
Nunya
Member since Dec 2012
10591 posts
Posted on 2/19/18 at 6:10 pm to
quote:

Knee Replacement seems OVER THE TOP for reduced cartilage...

It works, and works very well.
Posted by CrimsonTideMD
Member since Dec 2010
6925 posts
Posted on 2/19/18 at 8:53 pm to
quote:

When the cartilage wears out in the knee, it seems a "cartilage substitute" could be inserted and attached, kind of like getting new brake pads on the car.


Damn, somebody should have thought of that.

I’m gonna steal your idea, write it up, and get riyyyyach.

Look out Jimmie Andrews, I’m coming for you
Posted by 3HourTour
A whiskey barrel
Member since Mar 2006
21244 posts
Posted on 2/19/18 at 9:00 pm to
The doctor was the boys mother.
Posted by GeauxPack81
Member since Dec 2009
10484 posts
Posted on 2/19/18 at 9:35 pm to
Here is your alternative: ACI surgery

I dislocated my kneecap as a senior in high school, in the process I ripped off a ton of cartilage from the back of my patella. This surgery was recommended... Honestly, it seemed like it sucked, so I decided to do nothing. Scar tissue has since formed over my patella making it bearable to run, but I know my clock is ticking. Eventually I will have to get a knee replacement, but I am too young for it right now.
Posted by IceTiger
Really hot place
Member since Oct 2007
26584 posts
Posted on 2/19/18 at 9:39 pm to
Embrace your cyborg fate...
Join the machine willingly and humans will get to keep taco tuesday.
Posted by poule deau
Member since Jan 2009
1406 posts
Posted on 2/19/18 at 10:04 pm to
LINK

This what you are talking about.

There is a clinic in baton rouge participating in the clinical trials for approval.
Posted by Volt
Ascension Island, S Atlantic Ocean
Member since Nov 2009
2966 posts
Posted on 2/20/18 at 12:39 am to
STEM Cell injection into the knee joint.

Supposed to regrow cartilage in the knee joint space and can be accomplished in one injection.
Posted by tidalmouse
Whatsamotta U.
Member since Jan 2009
30706 posts
Posted on 2/20/18 at 7:43 am to
I had a TKR on my Rt. Knee,but only after it quit working as a knee.It wouldn't straighten out.

I had 2 rounds of injections under my knee cap,where cartilage should have been,of something made from Rooster Combs.

It actually helped for a little while.

My Steel Knee is my good knee now.

Good luck.
Posted by Pahnew
Member since Apr 2008
5372 posts
Posted on 2/20/18 at 7:47 am to
I basically have no cartilage in my knees. My doctor told me I'm too young for a knee replacement. (I'm 31) She said there is nothing we can do right now. Is she an idiot and should I see another doctor?
Posted by PhilemonThomas
Member since Jan 2015
2944 posts
Posted on 2/20/18 at 8:25 am to
I've heard recovery from knee replacement is usually quicker than a scope.

I don't know if that is true or not, but my dad and grandfather both had knee replacements and got back to walking around like normal quicker than I did after 2 scopes. But I will admit, they are both tougher than I am. They never get sick and have an amazingly high pain threshold and/or tolerance.
Posted by El Magnifico
La casa de tu mamá
Member since Jan 2014
7017 posts
Posted on 2/20/18 at 8:42 am to
Look into stem cell therapy.
Posted by Wtodd
Tampa, FL
Member since Oct 2013
67506 posts
Posted on 2/20/18 at 8:54 am to
There's no money in the cure....doesn't matter what the problem is....money is in the maintenance
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